Information Collection

Recordkeeping and Reporting Requirements: Notification of shipment arrival

IC 206053 under ICR 202007-0920-010 · OMB 0920-0263.

Documents and Forms

Document Name Document Type
Attachment 3 42 CFR 71.53.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Recordkeeping and Reporting Requirements: Notification of shipment arrival	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 73.51(k) and (n)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment 3 42 CFR 71.53.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0171 Quarantine and Traveler Related Activities, Including Records for Contact Tracing, Investigation, and Notification Under 42 CFR Part 70-71	FR Citation: 72 FR 70867

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	6	144
Annual IC Time Burden (Hours)	38	2	36
Annual IC Cost Burden (Dollars)	1,800	180	1,620

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.